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Years of Experience
Date Last Verified
Claims Supervisor The candidate will investigates and handles complex claims in any state. Will prepare reports to management on the cause and consequences of liability producing accidents and aids the divisions in the treatment of loss exposure. Advises Manager of unfavorable trends or changes in state case law affecting firm's risk exposure. Provides department head with information that will assist in negotiation of insurance coverage with agents, brokers and insurance companies. Investigates incidents in order to preserve evidence and evaluates exposure through direct work at the scene or through coordination of efforts of independent adjusters, division employees and/or outside counsel. Investigation includes gathering information concerning the details of an accident by traveling to the scene, taking statements, obtaining photographs and locating/interviewing witnesses, or selecting a local independent adjuster or law firm to handle the investigation. Manager oversees and reviews work as deemed necessary. Develops individual case and overall litigation strategies to minimize claims exposure and direct the efforts of outside counsel in the handling of liability and worker's compensation litigation through personal participation, continuous monitoring and communication. Coordinate subrogation efforts when necessary. Negotiates conclusion of accident claims involving liability in order to control costs through direct communication and negotiation with claimants and/or their attorneys. Evaluates all available facts to determine whether or not the Company has exposure to liability under state and federal laws and proposes an appropriate courses of action. Directs outside counsel in the handling of litigation and monitors progress toward proper conclusion. Evaluates and selects outside attorneys, independent adjusters, and expert witnesses. Assists Manager in developing a litigation strategy for those cases that result in law suits. Supervises outside attorneys in defense preparation and reporting. Supervises adjusters in investigating claims and authorizes settlement amounts to be used by adjusters. Informs Manager of high exposure litigation and recommends corrective actions where appropriate and assists in long range planning based on estimated consequences. Maintains contact with state regulatory authorities and participates in trade associations, self-insurer groups and other industry organizations in order to stay current with industry events and trends. Responsible to review claims and insurance publications and other briefs and published cases affecting present laws, case handling procedures and precedents in the claims, litigation and risk management areas. Assists divisions in loss control and loss transfer by reviewing contracts, insurance policies, and safety practices. Reviews and interprets contracts and insurance policies to pinpoint areas of exposure. Prepares risk management reports to management to inform them of the consequences of losses. Reviews and assists in negotiation for hold harmless agreements and insurance certificates guaranteeing financial assurance in division and corporate contracts where liability is transferred or assumed in order to minimize future loss exposure. Recovers appropriate amounts from firm's insurance carriers after review of contracts and communication with the carrier. Assists divisions with loss control by reviewing practices (i.e., labeling) to determine how liability may be created or avoided and consults with divisions as requested (such as an annual loss review or presentation at a superintendents meeting) in order to facilitate loss control.
Qualification and Experience
The candidate should have Law degree and 3+ yearsâ€™ experience in liability and workers' compensation claims or 4-6 yearsâ€™ experience in liability and workers' compensation claims, third party contracts, insurance contracts and case evaluation. Superior skills in communication, interpersonal relations, customer service, investigation and negotiation are needed.
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